DR. NICKLAS B OLDENBURG (M.D.) – Radiation Oncology Physician, NPI 1801899760

DR. NICKLAS B OLDENBURG (M.D.) is a healthcare provider. based in Providence, Rhode Island. specializing in RADIATION ONCOLOGY. They hold the professional credentials M.D.. They hold a License No. 205005 (MA). The NPI Number for DR. NICKLAS B OLDENBURG (M.D.) is 1801899760

Main info

Male
31 Years Of Experience
Accepts Medicare Assignment
Name
DR. NICKLAS B OLDENBURG (M.D.)
NPI
1801899760
Phone
(401) 521-9700
Address
825 N MAIN ST
Enumeration Date
24 May 2005
Last Update Date
10 March 2026

Doctor Profile

Medical School Name
UNIVERSITY OF NORTH CAROLINA AT CHAPEL HILL SCHOOL OF MEDICINE
Secondary Phone
4012762060
Graduation Year
1995 (31 years ago)
PAC ID
2961453089
Group Practice PAC ID
7810254513
Professional Enrollment ID
I20100824000291
Address ID
RI029045751PR827XXSTXX402
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience73
Completeness85
Years active:21State licenses:2Digital endpointsOther names

35 RADIATION ONCOLOGY in RI

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Provider Addresses for DR. NICKLAS B OLDENBURG (M.D.)

  • North Main Street, Providence, Providence County, Rhode Island, 029212, United States

    PROVIDENCE, RI 029045767

    Phone: (401) 521-9700

    Fax: (401) 751-1686

    Type: Mailing

  • 827 N Main St Ste 4

    Providence, RI 029045751

    Phone: (401) 272-7799

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 4 Open Payments records for all available years, with a total value of $344.

Total Amount is formed as General ($344) + Research ($0) + Ownership ($0) = $344.

Last reported payment date: 2023-12-14 • Largest payer in this snapshot: IsoRay, Inc ($183).

Total Amount

$344

General + Research + Ownership

Payments

4

Total payment records

General Amount

$344

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2023-12-14

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2010-08-24

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 2 Medicare enrollment records; no due dates published yet.

Enrollment records

2

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20071001000831IRadiation OncologyMATBD
I20100824000291IRadiation OncologyRITBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
77014Ct guidance for insertion of radiation therapy fields67890$0
G6015Intensity modulated treatment delivery, single or multiple fields/arcs,via narrow spatially and temporally modulated beams, binary, dynamic mlc, per treatment session59555$0
77336Continuing radiation therapy consultation per week18650$0
77427Radiation treatment management, 5 treatment sessions17949$0
99213Established patient office or other outpatient visit, 20-29 minutes156146$0
View full utilization report →

Insurance plans in this area (ZIP 02904)

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Provider's Procedures

DR. NICKLAS B OLDENBURG (M.D.) performs procedures in RADIATION ONCOLOGY. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
RADIATION ONCOLOGYRI77263Management of radiation therapy, complex2524
RADIATION ONCOLOGYRI77300Calculation of radiation therapy dose7627
RADIATION ONCOLOGYRI77427Radiation treatment management, 5 treatments16851

Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 7810254513View full group profile

Reviews

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Frequently asked questions

Can I verify DR. NICKLAS B OLDENBURG (M.D.) with an NPI only?
You can start verification with NPI 1801899760 for DR. NICKLAS B OLDENBURG (M.D.), then check state licensing separately.
Is DR. NICKLAS B OLDENBURG (M.D.) still practicing?
DR. NICKLAS B OLDENBURG (M.D.) is currently listed as active in the public NPI registry.
What is DR. NICKLAS B OLDENBURG (M.D.)'s specialty?
The listing groups DR. NICKLAS B OLDENBURG (M.D.) with Radiation Oncology Physician. Clinical services aligned with this taxonomy classification.
Where should I expect DR. NICKLAS B OLDENBURG (M.D.) on a map?
Expect Providence, Rhode Island as a primary anchor for DR. NICKLAS B OLDENBURG (M.D.) unless the record lists multiple sites.
Why does DR. NICKLAS B OLDENBURG (M.D.) have multiple addresses?
3 practice locations appear in the available data. Multiple addresses are common for hospital privileges, telehealth, or multi-site groups.

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